Established in 2017, the Centre aims to reduce mortality and complications related to Non-Communicable Diseases (NCDs) and malnutrition in Bangladesh through prevention, treatment and control. The Centre conducts research and works with the government of Bangladesh to develop guidelines for prevention, treatment and control, and perform evidence-based advocacy around NCDs and malnutrition. Research at the Centre includes identifying evidence-based practices in clinical and population settings, implementing health system research to optimise delivery of interventions, and conducting economic evaluation of novel and evidence-based interventions. Health care providers are trained on risk stratification for NCDs through prevention and management. The Centre also strengthens capacity of programme managers and policy makers on evidence-based policy and interventions for prevention and control. To further promote and advocate for the prevention, treatment and control of NCDs and malnutrition, and encourage people to adopt healthier lifestyles, the Centre also develops communication materials based on their research.
FOOD SECURITY AND NUTRITION SURVEILLANCE-NATIONAL NUTRITION SERVICES (FSNS-NNS)
PI: Professor Malay Kant Mridha, Director, CNCDN,
Co-PI: Md. Showkat Ali Khan, Assistant Scientst, BRAC JPGSPH.
Coordinator: Moyazzam Hossain, Deputy Research Coordinator, BRAC JPGSPH.
Objective: To report and assess food security of the rural and urban households and nutritional situation of women, children, adolescent boys and girls, adult males and geriatric population.
Timeline: April 2018 - December 2019
Donor: National Nutrition Services, Ministry of Health and Family Welfare (MoHFW), Government of the People’s Republic of Bangladesh.
Partner: Bangladesh Bureau of Statistics (BBS).
DEVELOPMENT OF INTEGRATED NUTRITION MESSAGES FOR SCHOOLS
PI: Professor Kaosar Afsana, BRAC JPGSPH.
Other Researchers: Professor Malay Kant Mridha, Director, CNCDN, BRAC JPGSPH; Saira Parveen Jolly, Senior Research Fellow, BRAC JPGSPH; Abu Mohammad Shamim, Associate Scientst; Fahmida Akter, Senior Research Fellow, BRAC JPGSPH; Barnali Chakraborty, Assistant Scientst, BRAC JPGSPH.
Objective: The study aims to develop integrated nutrition messages for school children, (pre-primary to grade 10) using the cover pages of the school textbooks.
Timeline: August 2020 - December 2020
Donor: Food and Agriculture Organization (FAO).
TRAINING AND DIGITAL CARE COORDINATION FOR IMPROVED PREVENTION OF TYPE 2 DIABETES AND CARDIOVASCULAR DISEASE BY PRIMARY HEALTH CARE TEAMS IN BANGLADESH
PI: Professor Malay Kant Mridha, Director, CNCDN,
Co-PI: Professor Malabika Sarker, Associate Dean and Director, CoE-SISU, BRAC JPGSPH.
Coordinator: Abu Abdullah Mohammad Hanif, Senior Research Fellow, BRAC JPGSPH.
Objective: A mixed-method study to develop and evaluate digital platforms for training and care-coordination by the primary health care team in Bangladesh; and to improve prevention and control of Type 2 Diabetes (T2D) and Cardiovascular disease (CVD).
Timeline: September 2019 - September 2021
Donor: National Institute for Health Research (NIHR), UK.
Partners: Imperial College London, UK; Non-Communicable Disease Control, Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare (MoHFW), Government of the People’s Republic of Bangladesh; BRAC.
PILOTING OF A POPULATION-BASED NON-COMMUNICABLE DISEASES (NCD) REGISTRY IN BANGLADESH
Maintaining a disease registry may have an immense potential for managing non-communicable diseases (NCD). The development of a population-based cancer registry is one of the priorities of the NCD operational plan of the government of Bangladesh. The Centre for Non-communicable diseases and nutrition (CNCDN), BRAC JPGSPH, has started a population-based NCD registry in the Parbatipur sub-district of Dinajpur. A team of trained Research Assistants is collecting detailed membership information of the households from the catchment area of one randomly selected community clinic in each of the 10 unions of Parbatipur sub-district and one of the randomly selected wards of the Parbatipur municipality area. The team has collected information on self-reported NCDs from the 18+ members of the households of the selected study sites.
Till date, we have listed 14,159 households with 19,147 males and 18,778 females age 18 years and above from 9 unions and 1 ward of the Parbatipur municipality area. According to the data collected in this study, 10.3% of the population aged 18+ reported hypertension (excluding gestational hypertension), 3.8% reported diabetes (excluding gestational diabetes), 4.0% reported heart attack or any other diseases of heart, 4.1% reported chronic respiratory problems and 1.2% reported a kidney disease. With such a lower prevalence of self-reported NCDs in this community compared to the national prevalence, this pilot study indicates a massive burden of unreported NCD cases in Bangladesh. Therefore, population-based screening for NCDs is an urgent need.
Consultation Meeting on Package of Essential Non-communicable Diseases Interventions for Primary Health are Providers in Cox’s Bazar District
Centre for Non-communicable Diseases and Nutrition (CNCDN) has been providing training on the package of essential NCD interventions to the primary health care providers of the Cox's Bazar district since 2019. In November-December 2021, we implemented the third phase of the training and arranged supportive supervision to the primary health care facilities with the previously trained health care providers to implement PEN intervention and improve screening and sensitization of NCD risk factors. We also facilitated the formation of an NCD coordination committee in Cox's Bazar district with the Civil Surgeon of Cox's Bazar as the Chairperson. On November 24, we organized a consultation meeting on the package of essential NCD interventions for Primary Health Care providers at Hotel Sea Palace, Cox's Bazar, in collaboration with the Noncommunicable Disease Control Program, Office of the Civil Surgeon, and the World Health Organization. Professor Robed Amin, Line Director of NCDC, was the chief guest of the meeting. Professor Malay Kanti Mridha, Director-CNCDN, provided the keynote speech on the 'Overview of implementation of Package of Essential Non-communicable disease (PEN) interventions in Cox's Bazar District'. Dr. Md. Mahbubur Rahman, Civil Surgeon of Cox's Bazar presided over the meeting. Among others, Dr. Abdul Alim, Program Manager, NCDC, DGHS, Dr. Sarowar Uddin Milon, DPM, NCDC, DGHS, Md. Khairul Islam, Field Coordinator-Operations, MOHFW Coordination Centre, Dr. Abu Toha MRH Bhuiyan, Health Coordinator, RRRC, Dr. Kai Von Harbou, Head of WHO Sub-office, Cox's Bazar, was were present in the meeting. Dr. Raisul Islam, Non-Communicable Disease Officer, WHO Bangladesh, moderated the meeting.